In an effort to help ensure that the radiation oncology therapy services provided to our members are consistent with nationally recognized clinical guidelines, Highmark has contracted with eviCore healthcare to provide medical necessity review and authorization where applicable for select radiation oncology therapy services, effective date TBD, for our New York markets (subject to New York State Department of Health approval).
eviCore Radiation Therapy policies and a complete list of impacted procedure codes are available here.
eviCore Highmark New York Provider Resources
eviCore has a dedicated webpage for Highmark providers to conveniently access evidence-based clinical guidelines, the current CPT code list, important resources and recent announcements. We encourage you to visit their site to ensure that you have the most current information.
Last updated on 11/17/2022 4:12:21 PM